Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $95.13 / $128.09	Facility		$95.13	$95.13	$128.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $119.39	Facility		$119.39	$119.39	$119.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $219.41 / $246.20	Professional		$162.78	$219.41	$246.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $189.10 / $274.89	Facility		$90.43	$189.10	$274.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $195.64 / $209.04	Facility		$141.47	$195.64	$209.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.53 / $195.16 / $267.73	Facility		$98.53	$195.16	$267.73